医学研究与教育 ›› 2020, Vol. 37 ›› Issue (4): 31-34.DOI: 10.3969/j.issn.1674-490X.2020.04.006

• 临床医学 • 上一篇    下一篇

52例乳糜血实验室数据分析

刘建华1,张进国2,马洪水1,马洪强1,杨新1   

  1. 1.易县中医医院, 河北 易县 074299;
    2.易县妇幼保健院, 河北 易县 074299
  • 收稿日期:2020-04-04 出版日期:2020-08-25 发布日期:2020-08-25
  • 通讯作者: 张进国(1965—),男,河北易县人,主任医师,主要从事全科医疗工作。E-mail: zhjg_65@sina.com
  • 作者简介:刘建华(1971—),女,河北易县人,副主任检验技师,现主要从事临床检验工作。 通信作者:张进国(1965—),男,河北易县人,主任医师,主要从事全科医疗工作。 E-mail: zhjg_65@sina.com

  • Received:2020-04-04 Online:2020-08-25 Published:2020-08-25

摘要: 目的 对52例乳糜血样本实验数据进行分析,为临床检验提供依据。方法 将52例乳糜血实验室检测数据录入Excel 2007表格,分析乳糜血的原因以及清淡饮食后第3、7天乳糜血变化和血脂水平。结果 共计乳糜血52例。其中男性47例,占90.38%;女性5例,占9.62%。空腹时间不足12 h 者49例,占94.23%。空腹时间12 h以上者3例,占5.77%。化验前1 d晚上饱餐肥腻食物45例,占86.54%。前1周内肥腻饮食5例,占9.62%;前1周内清淡饮食2例,占3.85%。清淡饮食3、7 d后,乳糜血样本血浆颜色恢复正常的比例分别为96.15%、98.08%。乳糜血时血总胆固醇和三酰甘油水平增高,清淡饮食3、7 d后血总胆固醇和三酰甘油水平逐渐减低。清淡饮食3、7 d后血总胆固醇和三酰甘油水平与乳糜血时总胆固醇和三酰甘油水平各自比较,差异均有统计学意义(P<0.05)。结论 乳糜血的主要原因是抽血前天晚饭进食肥厚油腻食物,必须高度重视抽血前检查者的准备工作。

关键词: 乳糜血, 血脂, 实验数据, 分析

Abstract: Objective To provide basis for clinical examination by analyzing experimental data of 52 chyle blood samples. Methods The laboratory test data of 52 cases of chylous blood were input into the Excel 2007 table, and the causes of chyle blood were analyzed, as well as the changes of chyloblood and blood lipid levels on days 3 and 7 after a light diet. Results Off 52 cases, 47 were male, accounting for 90.38%. 5 were female, accounting for 9.61%. The fasting time of 49 cases was less than 12 hours, accounting for 94.23%. 3 cases’ fasting time was more than 12 hours, accounting for 5.77%. 45 cases took fatty food the night before test(86.54%). 5 cases took fatty diet in the previous week(9.62%). 2 cases took light diet in the previous week(3.85%). After 3 or 7 days of light diet, the proportion of chyle blood samples returned to normal 96.15% and 98.08% respectively. Total blood cholesterol and triglyceride levels increased during chylous blood, and after 3 or 7 days of light diet, the total blood cholesterol and triglyceride levels gradually decreased. Compared with the total cholesterol and triglyceride levels in blood after 3 and 7 days of light diet, the difference was statistically significant(both P<0.05). Conclusion The main cause of chylous blood is the fat and greasy food for dinner the day before blood drawing, and the preparation of the examiner before blood drawing must be paid great attention.

Key words: chyle blood, blood lipids, experimental data, analysis

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